EANM Disclosure Statement Please include the following 4

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EANM Disclosure Statement Please include the following 4 disclosure questions and corresponding answers in

EANM Disclosure Statement Please include the following 4 disclosure questions and corresponding answers in your Power. Point or e-Poster presentation: 1) I or one of my co-authors hold a position as an employee, consultant, assessor or advisor for a pharmaceutical, device or biotechnology company. If yes, please specify name/position/company: _________________________________________________________ 2) I or one of my co-authors receive support from a pharmaceutical, device or biotechnology company. If yes, please specify name/position/company/which project and whether support is in kind or monetary: _________________________________________________________ 3) I or one of my co-authors hold property rights/patents for (radio)pharmaceuticals, medical devices or medical consulting firms. If yes, please specify name/position/company: _________________________________________________________ 4) I or one of my co-authors have written articles for (radio)pharmaceutical, medical device, biotechnology or consulting companies during the last 5 years. If yes, please specify name/position/company/article/ journal and co-authors: _________________________________________________________